{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T05:41:02Z","timestamp":1776836462485,"version":"3.51.2"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,21]]},"DOI":"10.7759\/cureus.107506","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:46:21Z","timestamp":1776833181000},"source":"Crossref","is-referenced-by-count":0,"title":["Recurrent Laryngeal Nerve Identification in Thyroidectomy: Limitations of Anatomical Landmarks and the Gamboa-Hoil Principle"],"prefix":"10.7759","author":[{"given":"Sergio Isidro","family":"Gamboa-Hoil","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","article-title":"Recurrent laryngeal nerve injury","author":"Culp JM","year":"2023","unstructured":"Culp JM, Patel G. Recurrent laryngeal nerve injury. StatPearls [Internet]. StatPearls Publishing, Treasure Island, FL; 2023."},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1177\/2151458516681144","article-title":"Indications for direct laryngoscopic examination of vocal cord function prior to anterior cervical surgery","volume":"8","author":"Gowd A","year":"2017","unstructured":"Gowd A, Nazemi A, Carmouche J, Albert T, Behrend C. Indications for direct laryngoscopic examination of vocal cord function prior to anterior cervical surgery. Geriatr Orthop Surg Rehabil. 2017, 8:54-63. 10.1177\/2151458516681144","journal-title":"Geriatr Orthop Surg Rehabil"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-020-02018-1","article-title":"Relationship of recurrent laryngeal nerve with inferior horn of thyroid cartilage, Berry\u2019s ligament and Zuckerkandl\u2019s tubercle","volume":"74","author":"Kastan OZ","year":"2022","unstructured":"Kastan OZ, Ozturk S, Calguner E, Ag\u0131rd\u0131r BV, Sindel M. Relationship of recurrent laryngeal nerve with inferior horn of thyroid cartilage, Berry\u2019s ligament and Zuckerkandl\u2019s tubercle. Indian J Otolaryngol Head Neck Surg. 2022, 74:2065-70. 10.1007\/s12070-020-02018-1","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-28768-y","article-title":"Anatomical variations of the recurrent laryngeal nerve and postoperative outcomes in thyroid surgeries conducted at a teaching hospital in Ethiopia","volume":"15","author":"Wubie AG","year":"2025","unstructured":"Wubie AG, Biadgelign MG, Fentahun N, et al.. Anatomical variations of the recurrent laryngeal nerve and postoperative outcomes in thyroid surgeries conducted at a teaching hospital in Ethiopia. Sci Rep. 2025, 15:44872. 10.1038\/s41598-025-28768-y","journal-title":"Sci Rep"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.104693","article-title":"Persistent voice changes following total thyroidectomy despite intraoperative nerve monitoring: a retrospective single-center study","volume":"18","author":"Senofer N","year":"2026","unstructured":"Senofer N, Suleman AM, Singhal VK, Alsisi AM. Persistent voice changes following total thyroidectomy despite intraoperative nerve monitoring: a retrospective single-center study. Cureus. 2026, 18:e104693. 10.7759\/cureus.104693","journal-title":"Cureus"},{"key":"ref6","unstructured":"Cancer over time. (2026). https.\/\/gco.iarc.who.int\/overtime\/."},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/wjs.70254","article-title":"A study of time to recovery following loss of neuromonitoring signal of the recurrent laryngeal nerve in thyroid surgery","volume":"50","author":"Yu J","year":"2026","unstructured":"Yu J, Ragavan R, Nylen C, et al.. A study of time to recovery following loss of neuromonitoring signal of the recurrent laryngeal nerve in thyroid surgery. World J Surg. 2026, 50:660-7. 10.1002\/wjs.70254","journal-title":"World J Surg"},{"key":"ref8","article-title":"The recurrent laryngeal nerve and extralaryngeal branches in relation to the inferior thyroid artery, Berry\u2019s ligament, tracheal groove, and Zuckerkandl tubercle: an experience of 60 thyroidectomies","volume":"67","author":"Nitsa Z","year":"2025","unstructured":"Nitsa Z, Mpolianidou M, Faltsetas S, Katsamakas M. The recurrent laryngeal nerve and extralaryngeal branches in relation to the inferior thyroid artery, Berry\u2019s ligament, tracheal groove, and Zuckerkandl tubercle: an experience of 60 thyroidectomies. Folia Med. 2025, 67:e142497.","journal-title":"Folia Med"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000006674","article-title":"Recurrent laryngeal nerve injury after thyroid and parathyroid surgery: incidence and postoperative evolution assessment","volume":"96","author":"Joliat GR","year":"2017","unstructured":"Joliat GR, Guarnero V, Demartines N, Schweizer V, Matter M. Recurrent laryngeal nerve injury after thyroid and parathyroid surgery: incidence and postoperative evolution assessment. Medicine (Baltimore). 2017, 96:e6674. 10.1097\/MD.0000000000006674","journal-title":"Medicine (Baltimore)"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.98801","article-title":"Preventing laryngeal nerve palsy during thyroidectomies: a non-systematic review of the surgical anatomy literature","volume":"17","author":"Sheikh S","year":"2025","unstructured":"Sheikh S, Moor J. Preventing laryngeal nerve palsy during thyroidectomies: a non-systematic review of the surgical anatomy literature. Cureus. 2025, 17:e98801. 10.7759\/cureus.98801","journal-title":"Cureus"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/4357591","article-title":"The reliability of the tracheoesophageal groove and the ligament of Berry as landmarks for identifying the recurrent laryngeal nerve: a cadaveric study and meta-analysis","volume":"2017","author":"Henry BM","year":"2017","unstructured":"Henry BM, Sanna B, Graves MJ, et al.. The reliability of the tracheoesophageal groove and the ligament of Berry as landmarks for identifying the recurrent laryngeal nerve: a cadaveric study and meta-analysis. Biomed Res Int. 2017, 2017:4357591. 10.1155\/2017\/4357591","journal-title":"Biomed Res Int"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2021.0155","article-title":"Varied recurrent laryngeal nerve course is associated with increased risk of nerve dysfunction during thyroidectomy: results of the surgical anatomy of the recurrent laryngeal nerve in thyroid surgery study, an international multicenter prospective anatomic and electrophysiologic study of 1000 monitored nerves at risk from the International Neural Monitoring Study Group","volume":"31","author":"Liddy W","year":"2021","unstructured":"Liddy W, Wu CW, Dionigi G, et al.. Varied recurrent laryngeal nerve course is associated with increased risk of nerve dysfunction during thyroidectomy: results of the surgical anatomy of the recurrent laryngeal nerve in thyroid surgery study, an international multicenter prospective anatomic and electrophysiologic study of 1000 monitored nerves at risk from the International Neural Monitoring Study Group. Thyroid. 2021, 31:1730-40. 10.1089\/thy.2021.0155","journal-title":"Thyroid"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6417","article-title":"Randomized clinical trial of visualization versus neuromonitoring of recurrent laryngeal nerves during thyroidectomy","volume":"96","author":"Barczy\u0144ski M","year":"2009","unstructured":"Barczy\u0144ski M, Konturek A, Cicho\u0144 S. Randomized clinical trial of visualization versus neuromonitoring of recurrent laryngeal nerves during thyroidectomy. Br J Surg. 2009, 96:240-6. 10.1002\/bjs.6417","journal-title":"Br J Surg"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58060755","article-title":"Surgical significance of Berry\u2019s posterolateral ligament and frequency of recurrent laryngeal nerve injury into the last 2 cm of its caudal extralaryngeal part(p1) during thyroidectomy","volume":"58","author":"Mantalovas S","year":"2022","unstructured":"Mantalovas S, Sapalidis K, Manaki V, et al.. Surgical significance of Berry\u2019s posterolateral ligament and frequency of recurrent laryngeal nerve injury into the last 2 cm of its caudal extralaryngeal part(p1) during thyroidectomy. Medicina (Kaunas). 2022, 58:755. 10.3390\/medicina58060755","journal-title":"Medicina (Kaunas)"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-022-03054-y","article-title":"Identification of valid anatomical landmarks to locate and protect recurrent laryngeal nerve during thyroid surgery: a cadaveric study","volume":"45","author":"Patra A","year":"2023","unstructured":"Patra A, Asghar A, Chaudhary P, Ravi KS. Identification of valid anatomical landmarks to locate and protect recurrent laryngeal nerve during thyroid surgery: a cadaveric study. Surg Radiol Anat. 2023, 45:73-80. 10.1007\/s00276-022-03054-y","journal-title":"Surg Radiol Anat"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2023.1289941","article-title":"The use of Zuckerkandl's tubercle as an anatomical landmark in identifying recurrent laryngeal nerve and superior parathyroid gland during total thyroidectomy: a prospective single-surgeon study","volume":"10","author":"Gurluler E","year":"2023","unstructured":"Gurluler E. The use of Zuckerkandl's tubercle as an anatomical landmark in identifying recurrent laryngeal nerve and superior parathyroid gland during total thyroidectomy: a prospective single-surgeon study. Front Surg. 2023, 10:1289941. 10.3389\/fsurg.2023.1289941","journal-title":"Front Surg"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.70269","article-title":"Nerve branch diameter as an indicator of motor function in extralaryngeal branches of the recurrent laryngeal nerve during thyroidectomy","volume":"10","author":"Lee JK","year":"2025","unstructured":"Lee JK, Kim E, Kong Y, et al.. Nerve branch diameter as an indicator of motor function in extralaryngeal branches of the recurrent laryngeal nerve during thyroidectomy. Laryngoscope Investig Otolaryngol. 2025, 10:e70269. 10.1002\/lio2.70269","journal-title":"Laryngoscope Investig Otolaryngol"},{"key":"ref18","article-title":"Identification of the recurrent laryngeal nerve during thyroidectomy can affect the complication rate","volume":"92","author":"Vural V","year":"2021","unstructured":"Vural V, Comcali B, Saylam B, Coskun F. Identification of the recurrent laryngeal nerve during thyroidectomy can affect the complication rate. Ann Ital Chir. 2021, 92:217-26.","journal-title":"Ann Ital Chir"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2025.5345","article-title":"Thyroidectomy outcomes in older adults: a systematic review and meta-analysis","volume":"152","author":"Ghani A","year":"2026","unstructured":"Ghani A, Ayesh AR, Rajaram H, et al.. Thyroidectomy outcomes in older adults: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 2026, 152:357-65. 10.1001\/jamaoto.2025.5345","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"ref20","unstructured":"National Comprehensive Cancer Network. (2026). https.\/\/www.nccn.org."},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-026-03678-6","article-title":"Different approaches of dissecting the recurrent laryngeal nerve during total thyroidectomy affect postoperative parathyroid function","author":"Ye Y","year":"2026","unstructured":"Ye Y, Wang X, Liu Y, et al.. Different approaches of dissecting the recurrent laryngeal nerve during total thyroidectomy affect postoperative parathyroid function. BMC Surg. 2026, 10.1186\/s12893-026-03678-6","journal-title":"BMC Surg"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/487552-recurrent-laryngeal-nerve-identification-in-thyroidectomy-limitations-of-anatomical-landmarks-and-the-gamboa-hoil-principle","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:46:37Z","timestamp":1776833197000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/487552-recurrent-laryngeal-nerve-identification-in-thyroidectomy-limitations-of-anatomical-landmarks-and-the-gamboa-hoil-principle"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,21]]},"references-count":21,"URL":"https:\/\/doi.org\/10.7759\/cureus.107506","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4,21]]}}}